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CARLTON RALPH DANIEL III MD
NPI 1639104904
Dermatology in Jackson, MS

Active since July 12, 2006PECOS Enrolled
69.83/100
CMS Quality Rating
971 LAKELAND DR, 659, JACKSON, MS 39216(601) 362-8514(601) 366-7621 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carlton Ralph Daniel Iii Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLTON RALPH DANIEL III MD (NPI 1639104904) is an individual dermatology provider in Jackson, Mississippi, licensed in Mississippi (7976) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639104904
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameCARLTON RALPH DANIEL IIICredential: MD
Location Address971 LAKELAND DR, 659Jackson, MS 39216-4609
Mailing Address971 Lakeland Dr, 659Jackson, MS 39216-4609 · (601) 362-8514 · Fax (601) 366-7621
Phone(601) 362-8514
Fax(601) 366-7621
Sole ProprietorNo
Enumeration DateJuly 12, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1639104904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MS · 7976
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
971 LAKELAND DR, Jackson, MS 39216
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Other Identifiers 2

Medicaid00019627MS
Medicare UPINC48275

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carlton Ralph Daniel Iii Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

69.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.08
Promoting Interoperability83
Improvement Activities40
Cost48.31

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BEN W. SEALE, M.D., PLLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
971 LAKELAND DR, SUITE 450
JACKSON, MS 39216
Hinds County (601) 948-5158
EDWIN P SUDDUTH M.D.
Anesthesiology
971 LAKELAND DR, SUITE 202
JACKSON, MS 39216
Hinds County (601) 362-1990
JACKSON GYNECOLOGIC ONCOLOGY PLLC
Obstetrics & Gynecology (Gynecology)
971 LAKELAND DR, STE 750
JACKSON, MS 39216
Hinds County (601) 987-3033
D TIMOTHY CANNON M.D.
Specialist
971 LAKELAND DR, SUITE 1052
JACKSON, MS 39216
Hinds County (601) 981-9503
JAMIE DOUGLAS MCCOLLUM M.D.
Anesthesiology
971 LAKELAND DR, SUIITE 202
JACKSON, MS 39216
Hinds County (601) 362-1990
DAVID WESTBROOK M.D.
Specialist
971 LAKELAND DR, SUITE 1052
JACKSON, MS 39216
Hinds County (601) 981-9503
MS. JACQUELINE M. ROBINSON MS, CCC-A; F/AAA
Audiologist
971 LAKELAND DR, SUITE 854
JACKSON, MS 39216
Hinds County (601) 981-2825
MRS. KRISTIE CALLAHAN FNP-C
Nurse Practitioner (Family)
971 LAKELAND DR, SUITE 557
JACKSON, MS 39216
Hinds County (601) 200-4560

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carlton Daniel's NPI number?

The NPI number for Carlton Daniel is 1639104904. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Carlton Daniel located?

Carlton Daniel practices at 971 Lakeland Dr 659, Jackson, MS 39216. The listed phone number is (601) 362-8514.

What is Carlton Daniel's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Carlton Daniel enrolled in Medicare?

Yes. Carlton Daniel is registered in the Medicare PECOS enrollment system.

What insurance does Carlton Daniel accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Carlton Daniel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carlton Daniel was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.